Organization · Type 2 NPI

Wade R Poulson

Pharmacy · Duchesne, UT

NPI number 1154640555 Active

Practice location

1322 N Scotch Pine Dr
Duchesne, UT 84021-0464

Fax (435) 738-0153

Mailing address

PO Box 464
Duchesne, UT 84021-0464

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

About NPI 1154640555

Wade R Poulson's National Provider Identifier is 1154640555, issued on May 25, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Duchesne, UT. The record was last updated on Nov 12, 2010.